Sample Notary Statements Ny PDF
Sample Notary Statements Sample Notary Statements are available for the following forms: Acknowledgements Oaths Depositions Affidavits Certificates
Sample Forms “(Personalized Seal)” in the following examples means a seal containing the words "Notary Public, State of Texas" around a star of five points, the notary
Notary Public, the signer must be positively identified by the Notary Public and the signer must acknowledge having willingly signed the document. The signer is not required to sign in the presence of the Notary Public. Sample Acknowledgment Form: State of Maine .
Jurat with Affiant Statement State of California County of _____ 1. _____ 2.
CALIFORNIA JURAT WITH AFFIANT STATEMENT State of _____ } } ss. County of _____ } See Attached Document (Notary to cross out lines 1-8 below)
For a verification on oath or affirmation: State of _____ [County] of _____ Signed and sworn to (or affirmed) before me on _____ by _____
Page 2 / Notary Public License Law NYS Department of State Division of Licensing Services Introduction Notaries public are commissioned by the Secretary of State.
SAMPLE CORPORATE ACKNOWLEDGMENT State of Utah ) § County ... Notary Public Signing in a Representative Capacity: An authorized officer, agent, partner, trustee, member or other representative may sign on behalf of their representative business, be it
Acknowledgment of instrument signed by two or more persons: North Carolina _____ County I, _____, a Notary Public for said County and
A deposition is a signed transcript of the signer’s oral statements taken down for use in a judicial proceeding. Oaths and Affirmations 1. ... The Notary completes certificate wording for a jurat and affixes the official signature and seal. Jurat
a statement, which renders any person who willfully makes untrue statements subject to the penalties for perjury or false statement. ... Notary Public Manual 13 4.11c Sample Written Statement for Attestation Procedure State of Connecticut
SAMPLE NOTARIAL CERTIFICATES (14-14-8) Certificate of notarial acts; short forms. S A M P L E The following short form certificate of notarial acts are sufficient for the purpose
3 I. Purpose of the Notary Handbook This handbook has been prepared by the office of the Secretary of State for current and prospective notaries public in the state of Colorado.
Microsoft Word - notary_jurat.doc Author: boconnel Created Date: 3/10/2008 9:31:07 AM ...
New York City and Upstate Eviction Plans, ... 13. , makes the above statements, knowing that the (Name of Principal) Department of law will rely on such representations in ... Notary Public. Title: Sample Effectiveness Affidavit Form E-1
firms federal and state tax returns including all statements and schedules as filed for the prior taxable year, ... State of New York, County of _____. On this ... Notary Public_____ Commission Expires ...
Family Court of the State of New York – County of Westchester Instructions: Complete this form prior to the court appearance date and have your signature notarized. Attach the following ... Notary Public or (Deputy) Clerk of the Court
•The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization.
Notarized statements and journal entries associated with the parental consent for abortion statutes under A.R.S. § 36-2152(A) are confidential and are not public records. ... acknowledgement, a notary may use the sample acknowledgment wording
[SAMPLE FORM OF AFFIDAVIT] ... in the Proof of Mailing form instead of having your oath taken before a Notary Public or an Attorney at Law.] SUPREME COURT OF NEW JERSEY Docket No. _____ ... [You then set forth your sworn statements in numbered paragraph form.
Notary Reviews the application form for completeness and fee Public and and: Fee Section - Accepts it and returns a Notary Public Commission Certificate and Oath Qualification Certificate to the applicant; or ...
The statements in this affidavit are true to the best of our knowledge, information and belief. 2. Name, Age and Residence. We have never changed our names or used any other names. We are citizens of the ... Notary Republic . Created Date:
WITNESSING A SIGNATURE 1. When witnessing a signature, a Notary certifies that the signer personally appeared, was positively identified, and that the Notary witnessed the signing of the document on the date of
Common Notarial Acts The information presented on this page was collected from public and private sources and is provided as a service of the United States Notary Association.
SAMPLE . UNEMPLOYED AFFIDAVIT . ... Notary Public Printed Name _____ Notary Public Signature ... fraudulent statements to any department or agency of the United States Government or public housing authority as
New York, New York 10021 Re: ... Nancy Notary_____ Notary Public . Affidavit of Net Worth and Income ... Please note: the following statements are illustrations. Original statements are required – with all pages included.
NEW YORK STATE COMMISSION ON QUALITY OF CARE AND ADVOCACY FOR PERSONS WITH DISABILITIES GUARDIANSHIP ... This is the County in which you sign the affidavit before a Notary Public. Statements: Enter name and check either standby, ...
Child Support Self-Certification Notary Letter (To be completed by Payee) As the Head-of-Household, I hereby certify the following child support information:
Title 27 of the Administrative Code of the City of New York and of the New York State Multiple Dwelling Law §4(6) ... false statements made in this Affidavit may be punishable as a felony or misdemeanor under Penal Law ... Notary Public Telephone # _____ Title:
any such work that may result in charges by the New York City ... it will rely upon the statements herein made ... _____ day of _____, 20 __ _____ Notary Public . Title: AFFIDAVIT OF TITLE Author: Jennifer Marsh Created Date: 8/26/2000 ...
great neck, ny 11020 _____ student’s name (print last name first) parent’s affidavit of custody state of new york ))ss. ... notary public signature of parent _____ (street address) _____ (city, state, zip code) created date: 4/28/2008 9:39:29 am ...
The statements in this affidavit are true to the best of our knowledge, information and belief. 2. Property. The subject of this affidavit is real property (hereinafter "the Property") located at: ... Notary Public . Title: AFFIDAVIT OF TITLE
State of New York County of Suffolk My ... Notary Public My name is _____ and I am the owner of the premises located at ... Your deponent understands that this affidavit is made under oath; that the statements contained are true; that the Sachem
SAMPLE REQUEST FOR RELIGIOUS EXEMPTION TO IMMUNIZATION FORM ... Please sign in the space provided below and have the document notarized by a notary public where indicated. ... • A copy of any parental/guardian statements to healthcare providers or school district officials in a
NEW YORK STATE . DEPARTMENT OF FINANCIAL SERVICES : ... I hereby certify under penalty of perjury that I am acting on my own behalf and that the foregoing statements are true and correct to the best of my knowledge and ... Notary Public Authorized by State of : to administer oaths. My commission ...
All candidates for school board membership are required to file three statements ... All statements must be sworn before a notary public (or a public official authorized by New York State
Sample Contract This sample contract will help you understand the general structure of a contract. The sample contract begins with notes about sections
I am aware of my obligations under New York Rules of Professional Conduct (22 ... statements made herein. This review is based upon my access to the books and records relating ... that the notary acknowledging the
5121 et seq.), portions of the State of New York (“State”) ... Homeowner’s making or filing of false, misleading orfraudulent statements or omitted ... Notary Public . STATE OF NEW YORK ) ) ss: COUNTY OF _____) On the ...
New York State Department of Motor Vehicles Insurance Services Bureau ... Current Assets as shown in financial statements = _____ Current Assets are > F above 2. Equity A) ... Signature of Notary Public Name of Certified Public Accounting Firm Mailing Address ...
statements, deposit slips and check registers, ... During our testing, we attempted to trace a sample of daily mortgage tax receipts through to the Annual Report. ... Office’s response that the transactions were an electronic notary file sent to the New York State
NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE Thomas Farley, M.D., M.P.H. ... addressed as indicated in #3 above and that I am aware that false statements made in this Affidavit may subject me to civil ... Notary Public Signature _____ Phone Number SEAL . Title: Microsoft Word ...
State of New York ) ) ss.: County of _____ ) AFFIDAVIT AND ... I understand that by signing this Affidavit and Stipulation before a notary ... of all other statements contained in this affidavit. I understand that if I submit this Affidavit and Stipulation without having my signature ...
statements made in this Affidavit are true and correct. Additionally, ... Notary Public, personally appeared _____, who proved to me on the basis of satisfactory evidence to be the person(s) whose name is subscribed to the within instrument and acknowledged ...
Notary Public (Deputy)Clerk of the Court. Form 4-17 Page 8 ADDENDUM A CHILD SUPPORT PERCENTAGES ... Where combined parental income exceeds the amount published by the New York State OTDA pursuant to Social Services Law 111-i(2)a, ...
sample No Change Affidavit for informational purposes, ... Notary Public _____ Commission Expires_____ Knowingly and willfully providing false ... Statements) and could subject you to fines, imprisonment or both.
oath that the foregoing statements regarding paternity are true and correct. I understand that medical tests may be required to ... Notary Public Signature: _____ Commission Expiration Date: _____ NOTARY SEAL . Paternity_Affidavit_and ...
the above and the statements contained in the attachments are true and accurate as of the stated date(s). ... NOTARY ACKNOWLEDGEMENT STATE OF COUNTY OF On this _____ day of _____ , _____ , before me, the undersigned Notary ...
SUPREME COURT OF THE STATE OF NEW YORK ... I state under the penalties of perjury that the statements herein made are true, except as to such ... NOTARY PUBLIC (Form UD-5 - Rev. 5/99) Title: Corel Office Document Author: RMABEE Created Date:
NOTARY PUBLIC . PR15200-R1117 (Rev. 12/2010) ... participate in the New York State Medical Assistance Program and in the profession or specialties, ... Certification Statements remain in effect and apply to all claims until superseded by another properly executed Certification